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Table 3 Study results

From: Cross-cutting lessons from the Decision-Maker Led Implementation Research initiative

County Implementation significance Vaccine-related problem Implementation facilitators/barriers Implementation strategies
Chad Identifying implementation facilitators/ barriers; assessing or testing implementation strategies N/A Demand-side barriers: mistrust of the expanded programme on immunization and polio vaccination services; health systems issues; concerns related to potential harm of vaccines OneHealth strategy; tailored communication strategy
Ethiopia Describing a vaccine-related problem; identifying implementation facilitators/barriers; exploring potential implementation strategies Use of data in immunization programme Supply-side barriers: awareness gaps; lack of motivating incentives; irregularity of supportive supervision; lack of community engagement in health report verification; poor technical capacity of health providers Community engagement
Ethiopia Describing a vaccine-related problem; identifying implementation facilitators/barriers Vaccine-related transfer system Supply-side barriers: no working feedback system; transfer process lacked uniformity; various approaches used by health facilities that were not systematic N/A
India Describing a vaccine-related problem; identifying implementation facilitators/barriers Vaccine hesitancy; trust deficit Demand-side barriers: patriarchal societal norms; social media influences; vaccine-critical views among practitioners of alternate systems of medicine
Supply-side barriers: lack of adequate technical knowledge among frontline healthcare providers
N/A
Nigeria Assessing or testing implementation strategies N/A N/A Participatory action research approach
Nigeria Identifying implementation facilitators/barriers; exploring potential implementation strategies N/A Demand-side barriers: male child preference; patriarchy; safety concerns; religious concerns; anti-vaccine misinformation and rumors; low perception of effectiveness/efficacy of vaccines; inaccessibility of localities; low health literacy and superstitious beliefs; traditional control mechanisms; religious beliefs
Demand-side facilitators: institution of village head/town crier; existence of change agents; traditional control mechanisms; religion
Engagement of community service organizations
Nigeria Identifying implementation facilitators/barriers N/A Demand-side barriers: lack of awareness/percieved benefit; role of husband and parent in-laws; competing demand occasioned by insurgency; language barriers; suspicion of vaccines N/A
Pakistan Describing a vaccine-related problem; identifying implementation facilitators/barriers; exploring potential implementation strategies Vaccination in urban slums Demand-side barriers: household barriers; lack of knowledge and awareness; misconceptions and fears regarding vaccines; social and cultural barriers; religious beliefs
Supply-side barriers: underperformance of staff; inefficient funds utilization; unreliable immunization and household data; interference of polio campaigns with routine immunization
Six-step validated framework for immunization services in urban slums
Uganda Describing a vaccine-related problem; identifying implementation facilitators/barriers Microplanning process Supply-side barriers: knowledge gaps; limited information available; bulky and complex tool; overtasked health providers N/A
Uganda Describing a vaccine-related problem; identifying implementation facilitators/barriers; exploring implementation strategies District-level leadership in immunization programmes Supply-side barriers: lack of participation in planning; no proper coordination Sector-wide and intersectoral coordination of funds and activities
Vietnam Describing a vaccine-related problem; identifying implementation facilitators/barriers Immunization system Demand-side barriers: perceptions of adverse reactions; limited knowledge
Supply-side barriers: no legal framework; out-of-date immunization schedule; inappropriate distribution and administration of vaccines
N/A
  1. N/A Information not applicable because it was not addressed by the study